contact-us-bg

Forms

We strive to simplify your visit to our health clinic, and by making forms available online, we allow you to be best prepared for your next walk-in or scheduled appointment. We know providing paperwork to patients can help them get the treatment they need, fast. If you arrive prepared, you can save yourself valuable time by having some of your necessary paperwork completed before your appointment. If you have any questions or trouble with any of our forms, please contact your local Metro Urgent Care for assistance.

Medical Records

If you are requesting medical records, you may do so by completing this Medical Release Form. Once the form is filled out, please fax to xxx-xxx-xxxx. Be sure to include the following information or the request can not be processed:

  • Patients Name
  • DOB
  • Person placing the request
  • Best call back number
X
- Enter Your Location -
- or -